No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COVENTRY HEALTH CARE OF MISSOURI EIN 43-1372307 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $952K |
| WHELAN SECURITY INC. EIN 43-0769651 NONE | Other services; Direct payment from the plan Service code 49 | — | $192K |
| HARTNETT GLADNEY HETTERMAN, LLC EIN 43-1205253 NONE | Legal; Direct payment from the plan Service code 29 | — | $149K |
| A. HERZOG, M.D. EIN 48-8662972 NONE | Direct payment from the plan; Other services Service code 49 | — | $142K |
| EDWARD REH, M.D. EIN 48-8605760 NONE | Direct payment from the plan; Other services Service code 49 | — | $137K |
| EMDEON NONE | Direct payment from the plan; Claims processing Service code 12 | 3055 LEBANON PIKE NASHVILLE, TN 37214 | $131K |
| DELTA DENTAL EIN 43-0908349 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Claims processing Service code 12 | — | $129K |
| D. MURPHY EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $119K |
| M. COLLOM EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $117K |
| ANDERS MINKLER HUBER & HELM LLP EIN 43-0831507 NONE | Direct payment from the plan; Consulting fees; Consulting (general); Accounting (including auditing) Service code 10 | — | $115K |
| B. LIGHT, M.D. EIN 41-2043414 NONE | Other services; Direct payment from the plan Service code 49 | — | $109K |
| M. REESE EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $105K |
| M. MCCLIMENS EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $102K |
| M. HEPBURN EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $101K |
| J. PELLMAN EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $97K |
| D. O'CONNELL EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $95K |
| D. SUMMERS JR. EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| L. BAKER EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| F. CREAMER EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $88K |
| J. SCHNEIDER EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $86K |
| B. FLYNN EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $85K |
| L. KUHN, M.D. EIN 43-0913193 NONE | Other services; Direct payment from the plan Service code 49 | — | $83K |
| T. FLYNN EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $82K |
| PATRICIA INMAN, M.D. NONE | Direct payment from the plan; Other services Service code 49 | 714 GRAVOIS ROAD, STE 100 FENTON, MO 63026 | $82K |
| K. DICKHENS EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| COMMERCE TRUST COMPANY EIN 43-0356370 NONE | Custodial (securities); Investment management fees paid directly by plan; Shareholder servicing fees; Investment management Service code 19 | — | $77K |
| D. FREEBERSYSER EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $74K |
| S. HUNT EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $74K |
| R. SCHROEDER EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $71K |
| N. BORDERS EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| J. WALSH EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $66K |
| B. BARRETT EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $65K |
| M. SANDERS EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $64K |
| L. WORLEY EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $63K |
| M. THIES EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $61K |
| A. MOORE EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $60K |
| N. ROGERS EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $60K |
| J. OWENS EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $60K |
| T. HILL EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $59K |
| L. RIPPY EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $57K |
| S. GEORGER EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $57K |
| C. LOCK EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $57K |
| D. SKILJAN EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $56K |
| K. JOHNDROW EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $56K |
| L. SCHAFER EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $56K |
| J. MCBRIDE EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $55K |
| J. DISKO EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $55K |
| K. MURPHY EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $55K |
| E. SCHMIDT EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $55K |
| P. HIRSCHBUEHLER EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $54K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 2,122 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,153 | Continuation coverage (COBRA, retiree health). |
| Beneficiaries receiving benefits | 285 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 3,560 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.